Abigail Park Lee Shaw, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0110008855 Issued in VA

Practice address

8301 Old Courthouse Rd
Vienna, VA 22182-3804

Phone

(703) 442-0300

Fax

(703) 442-0337

NPI assigned

Jun 14, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Abigail Lee Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in DC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

George Washington University School of Medicine, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Dermatology of Virginia IncGroup PAC ID 9436438538, 27 clinicians

Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75.95 of 100Reported as group

Quality

78.27

Promoting interoperability

91

Improvement activities

20

Cost

74.08

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: abigail.shaw@forefrontdermatology.emadirect.md
• Direct secure messaging: aleepa@directaddress.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Advanced Dermatology of Virginia Inc

  • Dermatology Physician
  • Alexandria, VA
  • NPI 1801342639

  DC

  Medicare reassignment Care Compare group
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Vienna, VA
  • NPI 1891169975

  DC

  Medicare reassignment Care Compare group
• Yolanda Holmes, MD

  • Dermatopathology Physician
  • Washington, DC
  • NPI 1861653982
  Medicare reassignment
• Forefront Dermatology SC

  • Dermatology Physician
  • Fairfax, VA
  • NPI 1609604610
  NPD
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Columbus, OH
  • NPI 1063365385
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1770213670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8301 OLD COURTHOUSE RD",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823804",
            "telephone_number": "703-442-0300",
            "fax_number": "703-442-0337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1140 Connecticut Ave NW Ste 675",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200364022",
            "country_code": "US",
            "telephone_number": "202-737-6800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3700 Joseph Siewick Dr",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220331744",
            "country_code": "US",
            "telephone_number": "703-648-2488",
            "fax_number": "703-648-2489",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAW",
        "first_name": "ABIGAIL",
        "middle_name": "PARK LEE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-14",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110008855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Abigail.Shaw@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "8301 OLD COURTHOUSE RD",
            "city": "VIENNA",
            "state": "VA",
            "country_code": "US",
            "postal_code": "221823804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ABIGAIL",
            "last_name": "LEE",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Andrew Jason Shannon, D.M.D.
• Antonio Shapiama
• Mustafa Sharieff
• Lily K Sharifzadeh-Nadimi, D.D.S., D.M.D.
• Sharon Singh PHD & Associates, PLC
• Amberly Devon Shaw
• Jennifer A Shea, M.D.
• Brian Sheaffer
• Duaa Shehadeh, DC
• Stuart E. Sheifer, M.D.

• Physician Assistant in Vienna, VA
• Providers in Vienna, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.